SANC DECLARATION OF INTEREST FORM Name * Name First Name First Name Last Name Last Name Position/Capacity * Committee Name * CouncilExecutive CommitteeProfessional Conduct CommitteeImpairment CommitteeLaws, Practice, and Standards CommitteeEducation CommitteeICT Governance CommitteeHuman Resources and Remuneration Committee:Communication and Marketing CommitteeFinance CommitteeAudit and Risk CommitteePreliminary Investigating CommitteeResearch CommitteeCPDOther Committee Name Conflict of Interest Declaration * That I have perused the agenda of the meeting and that I do have a conflict of interest in /some of the item/s on the agenda. That I have perused the agenda of the meeting and that I do not have any conflict of interest in /or some of the item/s on the agenda. Specify the Items with a Conflict of Interest * Acknowledgment * However, should I during the meeting or at any stage before or thereafter realise that I do have any such conflict, I shall immediately declare to the Chairperson of the Committee and will recuse myself from the discussion of that/those item/s. – To avoid at all cost putting myself in a position that is in conflict or could be observed to be in conflict with what the Council stands for. – To honour all undertakings given in the course of my duties and mandate, until the duties and mandate are performed, released, or executed. Date * Signature * signature keyboard Clear Submit If you are human, leave this field blank.